Disease of the mitral and tricuspid valves is a common disorder affecting approximately 3% of the population. Recent improvements in the understanding of the pathophysiology of the disease processes affecting these valves have led to significant changes in the management strategies applied, with better outcomes. The field of mitral and tricuspid valve surgery continues to expand with the development of new techniques and operations as well as the refinement of well-established surgical procedures.
Operative Mitral and Tricuspid Valve Surgery will systematically cover all the main topics involved in the current practice of an adult cardiac surgeon, performing operations on the mitral and tricuspid valve. Each chapter will be structured to include a step-by-step approach to the peri-operative management and surgical technique pertaining to each pathological process affecting the mitral and tricuspid valves. Importantly, there will be a section on the basic sciences related to the anatomy and physiology of the mitral and tricuspid valves, and a further section on pre-operative imaging of these valves, illustrating the variety of pathologies encountered.
The book will be relevant to all adult cardiac surgeons, performing mitral and tricuspid valve surgery, at any stage of their career. It will provide them with a structured system to approach all pathologies of the mitral and tricuspid valves. Adult cardiologists and cardiac intensive care unit specialists will also find this book useful in terms of the management of these patients, as they are integral to the cardiac surgical process. Its concise, yet complete coverage of the important topics make it the ideal guide to answer the key questions involved in operating on the mitral and tricuspid valves.
The data and body of knowledge presented in this book is based on the practice of a recognized international leader in the field, who has been performing and evolving these techniques for over 25 years.
Provides the reader with a step-by-step approach to operative surgery on the mitral and tricuspid valves, in an easily readable format, applicable to everyday surgical practice
The data and body of knowledge presented in the book is based on the practice of a recognized international leader in the field, who has been performing and evolving these techniques for over 25 years
Introduction.- Anatomy.- Physiology.- Indications for surgery – functional classification / pathophysiology.- Imaging of the mitral and tricuspid valves.- Operative set-up – exposure and analysis.- Annular dilatation – ring annuloplasty (suture annuloplasty).- Leaflet perforation.- Posterior mitral valve prolapse – neo-chordae.- Posterior mitral valve prolapse – triangular resection.- Posterior mitral valve prolapse – quadrangular resection.- Posterior mitral valve prolapse – sliding annuloplasty.- Anterior mitral valve prolapse – neo-chordae.- Anterior mitral valve prolapse – chordal transfer.- Anterior mitral valve prolapse – chordal shortening.- Bi-leaflet prolapse – Barlow’s disease.- Bi-leaflet prolapse – fibro-elastic disease.- Commissural prolaspe.- Alfieri stitch (edge-to-edge).- Annular calcification.- Ischaemic mitral regurgitation – down-sizing annuloplasty.- Ischaemic mitral regurgitation –IMR ring.- Ischaemic mitral regurgitation – papillary muscle apposition (Hvass sling).- Infective endocarditis (MV) – including peri-annular abscess.- Rheumatic MV repair.- Open mitral commissurotomy.- Mitral valve replacement with SVA preservation.- HOCM – SAM.- Chordal SAM.- Tricuspid valve repair – ring annuloplasty.- Tricuspid valve repair – reduction annuloplasty (de Vega).- Tricuspid valve repair – bicuspidisation (Kay annuloplasty).- Tricuspid valve repair – anterior leaflet augmentation (pericardial patch).- Tricuspid valve repair – Ebstein’s anomaly.- Tricuspid valve replacement.- AF ablation surgery.- Minimally invasive mitral valve surgery.- Future techniques – percutaneous chordae, mitra-clip, CS devices etc.- Appendix.- Index.